| NPI | 1770755084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 173299) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 80056) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2016-04-11 |